# LODI FAMILY CHIROPRACTIC CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316123623
- **Authorized official:** DR. MICHAEL JAMES LONGO DC (OWNER)
- **Authorized official phone:** (330) 948-7246

## Contact information

- **Practice address:** 600 WOOSTER ST, LODI, OH 44254-1326
- **Practice address phone:** (330) 948-7246
- **Practice address fax:** (330) 948-7247
- **Mailing address:** 600 WOOSTER ST, LODI, OH 44254-1326
- **Mailing address phone:** (330) 948-7246
- **Mailing address fax:** (330) 948-7247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2495 | OH | Yes |

## Other

- **Enumeration date:** 01/16/2008
- **Last updated:** 01/16/2008